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Conjunctival Pyogenic Granuloma Masquerading as Malignant Melanoma

Pyogenic granuloma is a common, benign, vascular growth that often appears as a rapidly growing mass on mucus membrane-lined surfaces such as the conjunctiva. Conjunctival pyogenic granulomas are common following trauma, burst chalazion or ill-fitting prosthesis. Also known as 'lobular capillar...

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Autores principales: Rao, Priyanka R, Furniturewala, Amjad U, Gopinathan, Indumati, Nair, Akshay Gopinathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8425498/
https://www.ncbi.nlm.nih.gov/pubmed/34522510
http://dx.doi.org/10.7759/cureus.17029
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author Rao, Priyanka R
Furniturewala, Amjad U
Gopinathan, Indumati
Nair, Akshay Gopinathan
author_facet Rao, Priyanka R
Furniturewala, Amjad U
Gopinathan, Indumati
Nair, Akshay Gopinathan
author_sort Rao, Priyanka R
collection PubMed
description Pyogenic granuloma is a common, benign, vascular growth that often appears as a rapidly growing mass on mucus membrane-lined surfaces such as the conjunctiva. Conjunctival pyogenic granulomas are common following trauma, burst chalazion or ill-fitting prosthesis. Also known as 'lobular capillary hemangiomas', these lesions typically appear bright red, fleshy and pedunculated. Treatment options include excision, topical steroid therapy and topical beta-blocker therapy. In this communication, the authors describe a rapidly enlarging, pedunculated black coloured conjunctival mass lesion in a 44-year-old woman, who had a recent history of chalazia. Given the location and the clinical appearance, a melanocytic tumour was suspected and the mass was excised. Histopathology and immunohistochemical studies confirmed the diagnosis to be consistent with that of a a necrotic pyogenic granuloma. Pigmented lesions of the conjunctiva, especially rapidly enlarging ones, need to be viewed with a high degree of suspicion to rule out malignant melanoma. Rarely though, benign lesions such as pyogenic granulomas that undergo necrosis may masquerade as conjunctival melanomas.
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spelling pubmed-84254982021-09-13 Conjunctival Pyogenic Granuloma Masquerading as Malignant Melanoma Rao, Priyanka R Furniturewala, Amjad U Gopinathan, Indumati Nair, Akshay Gopinathan Cureus Ophthalmology Pyogenic granuloma is a common, benign, vascular growth that often appears as a rapidly growing mass on mucus membrane-lined surfaces such as the conjunctiva. Conjunctival pyogenic granulomas are common following trauma, burst chalazion or ill-fitting prosthesis. Also known as 'lobular capillary hemangiomas', these lesions typically appear bright red, fleshy and pedunculated. Treatment options include excision, topical steroid therapy and topical beta-blocker therapy. In this communication, the authors describe a rapidly enlarging, pedunculated black coloured conjunctival mass lesion in a 44-year-old woman, who had a recent history of chalazia. Given the location and the clinical appearance, a melanocytic tumour was suspected and the mass was excised. Histopathology and immunohistochemical studies confirmed the diagnosis to be consistent with that of a a necrotic pyogenic granuloma. Pigmented lesions of the conjunctiva, especially rapidly enlarging ones, need to be viewed with a high degree of suspicion to rule out malignant melanoma. Rarely though, benign lesions such as pyogenic granulomas that undergo necrosis may masquerade as conjunctival melanomas. Cureus 2021-08-09 /pmc/articles/PMC8425498/ /pubmed/34522510 http://dx.doi.org/10.7759/cureus.17029 Text en Copyright © 2021, Rao et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Ophthalmology
Rao, Priyanka R
Furniturewala, Amjad U
Gopinathan, Indumati
Nair, Akshay Gopinathan
Conjunctival Pyogenic Granuloma Masquerading as Malignant Melanoma
title Conjunctival Pyogenic Granuloma Masquerading as Malignant Melanoma
title_full Conjunctival Pyogenic Granuloma Masquerading as Malignant Melanoma
title_fullStr Conjunctival Pyogenic Granuloma Masquerading as Malignant Melanoma
title_full_unstemmed Conjunctival Pyogenic Granuloma Masquerading as Malignant Melanoma
title_short Conjunctival Pyogenic Granuloma Masquerading as Malignant Melanoma
title_sort conjunctival pyogenic granuloma masquerading as malignant melanoma
topic Ophthalmology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8425498/
https://www.ncbi.nlm.nih.gov/pubmed/34522510
http://dx.doi.org/10.7759/cureus.17029
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